SRUTHI HARIPRASAD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008200

License Status

NOT RENEWED

Business

First Name

SRUTHI

Last Name

HARIPRASAD

Business Name

SRUTHI HARIPRASAD

Original Issue Date

02/08/2021

Effective Date

02/15/2022

Expiration Date

03/01/2024

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

02/05/2025